Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $18.55 / $104.32	Facility		$9.02	$18.55	$104.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $13.34 / $19.68	Professional		$10.02	$13.34	$19.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $37.92	Facility		$22.98	$22.98	$37.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $22.98 / $26.19	Professional		$21.37	$22.98	$26.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $34.47 / $49.18	Facility		$22.98	$34.47	$49.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $27.58 / $53.28	Professional		$24.13	$27.58	$53.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $96.57	Facility		$62.18	$72.66	$96.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $33.28 / $43.49	Professional		$11.73	$33.28	$43.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $18.68 / $22.98	Facility		$12.90	$18.68	$22.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $22.98	Professional		$13.15	$13.15	$22.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $18.93 / $29.36	Facility		$13.02	$18.93	$29.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $12.99 / $29.11	Professional		$10.67	$12.99	$29.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $65.00 / $85.00	Professional		$15.57	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $18.93 / $22.98	Facility		$12.90	$18.93	$22.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $22.98	Professional		$13.15	$13.15	$22.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $34.47 / $58.00	Professional		$22.98	$34.47	$58.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $46.65 / $108.15	Facility		$44.88	$46.65	$108.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $100.98 / $114.44	Professional		$11.73	$100.98	$114.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Professional		$22.98	$22.98	$22.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Professional		$22.98	$22.98	$22.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $11.46 / $21.97	Professional		$7.64	$11.46	$21.97